Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,137.96 / $6,165.95	Facility		$467.74	$2,137.96	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $812.83	Professional		$251.19	$416.87	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $5,754.40	Facility		$1,995.26	$2,398.83	$5,754.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $812.83	Professional		$323.59	$478.63	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $741.31	Professional		$288.40	$446.68	$741.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $630.96 / $1,230.27	Professional		$346.74	$630.96	$1,230.27
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $338.84 / $562.34	Professional		$331.13	$338.84	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,548.13 / $6,165.95	Facility		$1,318.26	$3,548.13	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $724.44	Professional		$275.42	$426.58	$724.44